NPIMap

Individual provider Active NPI

Melisa Coaker, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Clive, IA
National Provider Identifier
1164623393
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
38855 Issued in IA
Practice address
1275 NW 128TH St
Ste 200
Clive, IA 50325
Phone
(734) 502-6716
Fax
(515) 358-9650
NPI assigned
May 28, 2007
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38855 IA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 38855 IA Primary

Addresses

Primary practice location

1275 NW 128TH St
Ste 200
Clive, IA 50325

Mailing address

1275 NW 128TH St
Suite 200
Clive, IA 50325
Phone (515) 224-3948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000628 IA Practitioner - Sleep MedicinePractitioner - Internal Medicine 1557414588 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Internal Medicine
Education
Meharry Medical College School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DSM Sleep SpecialistsGroup PAC ID 8022362466, 5 clinicians

Practice addresses (Care Compare)

1275 NW 128TH St
Suite 200
Clive, IA 50325-7403
Phone (734) 502-6716

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.29 of 100Reported as group
Quality
68.58
Improvement activities
40
Cost
76.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38855IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DSM Sleep LLC Sleep Medicine Current Accepting new patients
DSM Sleep Specialists Sleep Medicine CurrentSince Nov 19, 2018 Accepting new patients
DSM Sleep Specialists Sleep Medicine CurrentSince Nov 19, 2018 Accepting new patients
Ottumwa Health Group LLC CurrentSince Nov 15, 2023 Accepting new patients
Ottumwa Health Group LLC CurrentSince Nov 15, 2023 Accepting new patients
Grinnell Regional Medical Center Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Knoxville Community Hospital Inc Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients

Locations

1275 NW 128th St
Ste 200
Clive, IA 50325
Phone (515) 224-3948

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

Interoperability endpoints

  • Direct secure messaging: melisacoaker@cicapc.allscriptsdirect.net
  • Direct secure messaging: melisacoaker@dsmssplc.allscriptsdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1164623393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 NW 128TH ST",
            "address_2": "SUITE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "50325",
            "telephone_number": "515-224-3948",
            "fax_number": "515-224-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 NW 128TH ST",
            "address_2": "STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "50325",
            "telephone_number": "734-502-6716",
            "fax_number": "515-358-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAKER",
        "first_name": "MELISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "38855",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IA",
            "license": "38855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.